Music students are at an elevated risk of playing-related musculoskeletal disorders. This study aimed to explore the impact of occupational adaptation-focused interventions on music student health. A quasi-experimental one-group pretest/posttest design was used. Music students received occupational therapy services grounded in the Occupational Adaptation model of practice. Assessment tools included the Performing Arts Module of the Disabilities of the Arm, Shoulder, and Hand (DASH) and an occupational adaptive process evaluation. Twelve music students, ages 19 to 32 years old, participated in this study. Results indicated a significant decrease in current pain intensity (Z = −2.038, p < .042), 24-hr pain intensity (Z = −2.94, p < .003), and DASH scores (Z = −2.81, p < .005). Strong correlations were found between participants’ adaptive capacity and improved DASH scores and 24-hr pain. Occupational adaptation-focused interventions can improve university-level music student health by addressing body functions affecting music performance and increasing their adaptive capacity.
AckermannB. J. (2010). Therapeutic management of the injured musician. In SataloffR.BrandfonbrenerA.LedermanR. (Eds.), Performing arts medicine (3rd ed., pp. 247–270). Science & Medicine.
2.
American Occupational Therapy Association. (2021). Position statement—Role of occupational therapy in pain management. American Journal of Occupational Therapy, 75(Suppl. 3), 7513410010. https://doi.org/10.5014/ajot.2020.75S3001
3.
BaadjouV.de BieR.GuptillC.SmeetsR. (2018). Psychometric properties of the performing arts module of the Disabilities of the Arm, Shoulder, and Hand questionnaire. Disability and Rehabilitation, 40(24), 2946–2952. https://doi.org/10.1080/09638288.2017.1362707
4.
BachmanS. (2016). The issue is—Evidence-based approach to treating lateral epicondylitis using the occupational adaptation model. American Journal of Occupational Therapy, 70, 7002360010p1–7002360010p5. https://doi.org/10.5014/ajot.2016.016972
5.
BerqueP.GrayH.McFadyenA. (2014). Development and psychometric evaluation of the Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians. Manual Therapy, 19(6), 575–588. https://doi.org/10.1016/j.math.2014.05.015
6.
CruderC.BarberoM.KoufakiP.SoldiniE.GleesonN. (2020). Prevalence and associated factors of playing-related musculoskeletal disorders among music students in Europe. Baseline findings from the Risk of Music Students (RISMUS) longitudinal multicentre study. PLOS ONE, 15(12), Article e0242660. https://doi.org/10.1371/journal.pone.0242660
7.
FinkR. (2000). Pain assessment: The cornerstone to optimal pain management. Proceedings (Baylor University Medical Center), 13(3), 236–239. https://doi.org/10.1080/08998280.2000.11927681
8.
GembrisH.MenzeJ.HeyeA.BullerjahnC. (2020). High-performing young musicians’ playing-related pain: Results of a large-scale study. Frontiers in Psychology, 11, Article 564736. https://doi.org/10.3389/fpsyg.2020.564736
9.
GrajoL.BoisselleA.DaLombaE. (2018). Occupational adaptation as a construct: A scoping review of literature. The Open Journal of Occupational Therapy, 6(1), Article 2. https://doi.org/10.15453/2168-6408.1400
Institute for Work & Health. (2006). The disabilities of the arm, shoulder and hand (DASH) outcome measure. https://dash.iwh.on.ca/
12.
IoannouC. I.AltenmüllerE. (2015). Approaches to and treatment strategies for playing-related pain problems among Czech instrumental music students: An epidemiological study. Medical Problems of Performing Artists, 30(3), 135–142. https://doi.org/10.21091/mppa.2015.3027
13.
KennyD.AckermannB. (2013). Performance-related musculoskeletal pain, depression and music performance anxiety in professional orchestral musicians: A population study. Psychology of Music, 43(1), 43–60. https://doi.org/10.1177/0305735613493953
14.
KokL. M.HuisstedeB.VoornV.SchoonesJ. W.NelissenR. G. (2016). The occurrence of musculoskeletal complaints among professional musicians: A systematic review. International Archives of Occupational and Environmental Health, 89(3), 373–396.
15.
LimaR. C.Magalhães PinheiroT. M.DiasE. C.de AndradeE. Q. (2015). Development and prevention of work-related disorders in a sample of Brazilian violinists. WORK: A Journal of Prevention, Assessment & Rehabilitation, 51(2), 273–280. https://doi.org/10.3233/wor-141904
16.
MateiR.GinsborgJ. (2021). Health education for musicians in the UK: A qualitative evaluation. Health Promotion International, 37(2), Article daab146. https://doi.org/10.1093/heapro/daab146
17.
McCraryJ. M.AckermannB. J.HalakiM. (2014). A systematic review of the effects of upper body warmup on performance and injury. British Journal of Sports Medicine, 49(14), 935–942. https://doi.org/10.1136/bjsports-2014-094228
18.
NarducciD. M. (2020). Musculoskeletal and associated conditions in the instrumental musician. In LeeS.MorrisSantoV.N. (Eds.), Perspectives in performing arts medicine practice (pp. 197–239). SpringerLink.
PortneyL. G.WatkinsM. P. (2020). Foundations of clinical research: Applications to practice (4th ed.). Pearson Education.
21.
RickertD. L. L.BarrettM. S.AckermannB. J. (2014). Injury and the orchestral environment: Part 1: The role of work organisation and psychosocial factors in injury risk. Medical Problems of Performing Artists, 28, 219–229.
22.
RickertD. L. L.BarrettM. S.AckermannB. J. (2015). Are music students fit to play? A case study of health awareness and injury attitudes amongst tertiary student cellists. International Journal of Music Education, 33(4), 426–441. https://doi.org/10.1177/0255761415582343
23.
SchkadeJ. K.SchultzS. (1992). Occupational adaptation: Toward a holistic approach for contemporary practice, Part 1. American Journal of Occupational Therapy, 46(9), 829–837.
24.
SchultzS.SchkadeJ. K. (1992). Occupational adaptation: Toward a holistic approach for contemporary practice, Part 2. American Journal of Occupational Therapy, 46(10), 917–925.
25.
SchultzS. W. (2014). Theory of occupational adaptation. In Boyt-SchellB. A.GillenG.ScaffaM. E. (Eds.), Willard & Spackman’s occupational therapy (12th ed., pp. 527–540). Lippincott, Williams, & Wilkins.
26.
StanhopeJ.PisanielloD.TooherR.WeinsteinP. (2019). How do we assess musicians’ musculoskeletal symptoms? A review of outcomes and tools used. Industrial Health, 57(4), 454–494. https://doi.org/10.2486/indhealth.2018-0065
27.
TingA.RockerJ. (2019). Evaluation and treatment of musicians from a holistic perspective. The Open Journal of Occupational Therapy, 7(4), 1–10. https://doi.org/10.15453/2168-6408.1581
28.
VillasB.Duarte WisneskyU.CampbellS.SlavikL.MevawalaA. S.HandlM. N.GuptillC. (2020). Role of occupational therapy in musicians’ health: A scoping review protocol. BMJ Open, 10(12), Article e040922. https://doi.org/10.1136/bmjopen-2020-040922
29.
WalderK.MolineuxM.BissettM.WhitefordG. (2021). Occupational adaptation-analyzing the maturity and understanding of the concept through concept analysis. Scandinavian Journal of Occupational Therapy, 28(1), 26–40. https://doi.org/10.1080/11038128.2019.1695931
30.
WolffA. L.LingD. I.CaseyE. K.ToresdahlB. G.GellhornA. C. (2021). Feasibility and impact of a musculoskeletal health for musicians (MHM) program for musician students: A randomized controlled pilot study. Journal of Hand Therapy, 34, 159–165.
31.
YangN.FufaD. T.WolffA. L. (2021). A musician-centered approach to the management of performance-related upper musculoskeletal injuries. Journal of Hand Therapy, 34(2), 208–216.
32.
ZazaC.CharlesC.MuszynskiA. (1998). The meaning of playing-related musculoskeletal disorders to classical musicians. Social Sciences Medicine, 47(12), 2013–2023.
